Individual
MYRA E KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
301 S MAIN ST, CAVE CITY, AR 72521-9476
(870) 283-5353
(870) 283-5988
Mailing address
PO BOX 247, CAVE CITY, AR 72521-0247
(870) 283-5353
(870) 283-5988
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01360 ANP
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159047758
—
AR
Enumeration date
01/30/2006
Last updated
11/16/2012
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